Quick answers
- Where is Aurora Valley Care?
- 414 S University Rd, Spokane, WA 99206, in Spokane County, Washington.
- What is the phone number of Aurora Valley Care?
- (509) 924-4650, as listed by Medicare (CMS).
- What is the Medicare star rating of Aurora Valley Care?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Aurora Valley Care been fined?
- Medicare lists 1 fine totaling $93,457.
- What did inspectors find at Aurora Valley Care?
- In its last three inspection cycles (January 20, 2023 to May 27, 2026), Medicare lists 101 health citations; the most serious was level G. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (January 20, 2023 to May 27, 2026), Aurora Valley Care had 101 health citations; the most serious was level G (actual harm to residents). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $93,457 in total (1 fine, the latest on May 9, 2024). Nurse staffing is 3.88 hours per resident per day; the Washington average is 4.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 15, 2025 — 34 health citations
Inspections in this cycle: September 15, 2025 (standard health inspection); April 1, 2026 (complaint investigation); May 27, 2026 (complaint investigation).
Show 34 citations (levels A to F, no actual harm)
F0584 Level F
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0725 Level F
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0835 Level F
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0843 Level F
“Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0572 Level E
“Give residents a notice of rights, rules, services and charges.”
F0574 Level E
“The resident has the right to receive notices in a format and a language he or she understands.”
F0577 Level E
“Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.”
F0628 Level E
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0688 Level E
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0868 Level E
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0941 Level E
“Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.”
F0944 Level E
“Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0687 Level D
“Provide appropriate foot care.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0694 Level D
“Provide for the safe, appropriate administration of IV fluids for a resident when needed.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0740 Level D
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0761 Level D
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0791 Level D
“Provide or obtain dental services for each resident.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0837 Level D
“Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.”
F0849 Level D
“Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.”
Previous cycle: June 27, 2024 — 33 health citations
Inspections in this cycle: June 27, 2024 (standard health inspection); October 30, 2024 (complaint investigation); October 30, 2024 (infection control inspection); December 16, 2024 (complaint investigation); December 30, 2024 (complaint investigation); February 21, 2025 (complaint investigation); March 10, 2025 (complaint investigation); April 15, 2025 (infection control inspection); September 15, 2025 (complaint investigation).
F0791 Level G
“Provide or obtain dental services for each resident.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 32 less serious citations (levels A to F)
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0712 Level E
“Ensure that the resident and his/her doctor meet face-to-face at all required visits.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0740 Level D
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
F0791 Level D
“Provide or obtain dental services for each resident.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0584 Level D
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0660 Level D
“Plan the resident's discharge to meet the resident's goals and needs.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0740 Level D
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level D
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0801 Level D
“Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0809 Level D
“Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.”
F0849 Level D
“Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.”
Earlier cycle: January 20, 2023 — 34 health citations
Inspections in this cycle: January 20, 2023 (standard health inspection); October 12, 2023 (complaint investigation); January 11, 2024 (complaint investigation); February 16, 2024 (complaint investigation); March 7, 2024 (complaint investigation); April 10, 2024 (complaint investigation); May 9, 2024 (complaint investigation); June 12, 2024 (complaint investigation); June 27, 2024 (complaint investigation); September 12, 2024 (complaint investigation).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 21 less serious citations (levels A to F)
F0943 Level F
“Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.”
F0660 Level E
“Plan the resident's discharge to meet the resident's goals and needs.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0881 Level E
“Implement a program that monitors antibiotic use.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0744 Level D
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0622 Level D
“Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
11 more citations of lower seriousness are not listed here. See all of them on Medicare Care Compare.
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (28)
E0007 Level F
“Address patient/client population and determine types of services needed.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0374 Level D
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0100 Level F
“Meet other general requirements.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0374 Level F
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0346 Level F
“Follow proper procedures when the fire alarm was out of service for more than 4 hours.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0354 Level F
“Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0342 Level D
“Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
Fines and payment denials
Total fines over about the last three years: $93,457 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| May 9, 2024 | Fine | $93,457 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Washington | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.68 | 0.99 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.85 | 0.74 | 0.86 |
| Nurse aide hours per resident per day | 2.36 | 2.68 | 2.35 |
| Total nurse staff hours per resident per day | 3.88 | 4.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.36 | 3.82 | 3.43 |
| RN hours per resident per day on the weekend | 0.29 | 0.71 | 0.48 |
| Nursing staff turnover (per year) | 52.7% | 43.9% | 45.3% |
| RN turnover (per year) | 18.2% | 43.8% | 42.5% |
| Administrators who left in the last year | 2.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 6 nursing homes: Caldera Care.
Legal business name: Aurora Valley Care LLC.
Owners and managers Medicare lists (5)
| Name | Role | Share | Since |
|---|---|---|---|
| KH7 Healthcare Holdings, LLC | Direct owner | 100% | May 21, 2025 |
| KH7 HH CDW | Indirect owner | — | May 21, 2025 |
| KH7 Ops LLC | Indirect owner | — | May 21, 2025 |
| Oscherowitz, Raphael | Indirect owner | — | May 21, 2025 |
| Wolmark, Chaim | Indirect owner | — | May 21, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 124 |
| Average residents per day | 86.8 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Caldera Care |
| Legal business name | Aurora Valley Care LLC |
| First approved by Medicare/Medicaid | 1967-01-06 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 414 S University Rd, Spokane, WA 99206 |
| County | Spokane County |
| State | Washington |
| Phone | (509) 924‑4650 |
| CMS Certification Number | 505114 |
| Name in Medicare records | AURORA VALLEY CARE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Sunshine Health & Rehab0.6 mi · Spokane, WA · 5 of 5 stars
- Sullivan Park Care Center2.3 mi · Spokane, WA · 2 of 5 stars
- Alderwood Manor4.7 mi · Spokane, WA · 3 of 5 stars
- Spokane Valley Health and Rehabilitation of Cascad5.2 mi · Spokane Valley, WA · 3 of 5 stars
- Spokane Veterans Home7.0 mi · Spokane, WA · 5 of 5 stars
Nearest hospital emergency rooms
- Multicare Valley Hospital1.7 mi · Spokane Valley, WA · Acute Care Hospital
- Providence Holy Family Hospital7.8 mi · Spokane, WA · Acute Care Hospital
- Spokane VA Medical Center11 mi · Spokane, WA · Federal/VA Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13